I have a 15 yr old who, due to medications, weighs 191 and has breast size of 40 DD this weight gain has been over the past 2 yrs. She has a twin who is 110 lbs and small frame. This is causing her emotional and physical stress. Would it be recommended to look at reduction at this age? Also, would this be covered under insurance as health issue.
Breast Reduction for Teen Recommended? (photo)
Doctor Answers 5
Breast Reduction for Teens
I am sorry for the tough time that your daughter is having. I am sure that you must be facing considerable stress from the situation as well. The breast reduction procedure should not be entered into lightly due to the scars involved, the discomfort of healing, and cost in both time and money. The patient must be emotionally able to handle the surgery, and many teens are not. If possible, breast reduction surgery should be delayed until your daughter is physically and emotionally mature.
Weight reduction would be the starting point which will hopefully rectify many of the physical issues. While your daughter begins efforts for weight reduction, you and she will be able to gather the necessary supporting documents in the event that the decision is to proceed with the surgical option.
Breast Reduction for Teen Recommended?
Sorry for your and her issues. The photo does not show the breast size but it gives an indication of the excess weight. As other expert posted it is very very rare to have insurance approval for a breast reduction under the age of 18. To proceed on the course you will need to file letters from a boarded PS, the child's Psychiatrist, even from a family counselor. But to help a weight loss plan started and showing a loss is very important. Remember breast reduction surgery is not the answer to her medical and mental issues.
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I'm sorry to hear about the difficult time your daughter is having; her situation must be even more challenging given that she has a twin who is not faced with the same challenges...
Although your daughter may be a good candidate for breast reduction/lifting surgery at some point, it would be best for her to concentrate on achieving a long term stable weight prior to undergoing breast surgery. Obviously, achieving this long-term stable weight may be difficult given the medical issues/medications involved.
As you both think about breast reduction surgery make sure you do your homework and understand the potential risks and complications associated with the procedure. Unsatisfactory scarring is one of the potential complications. Make sure you also understands that further surgery may be necessary in the future (for example if the breasts were to grow in size again).
On the other hand, breast reduction surgery is one of the most patient pleasing operations we perform and I think that for the right teenager (enough symptoms) it may be an excellent option (regardless of the age).
Sometimes breast reduction surgery is covered through health insurance. The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure. This documentation and letter/pictures from your plastic surgeon will help you obtain authorization.
Best wishes to you and your daughter.